h3CASE PRESENTATION/h3
A 75-year-old woman is referred to you by her local optometrist for a 2-week history of anterior uveitis in her right eye that is
unresponsive to hourly prednisolone acetate. She had uneventful bilateral cataract surge…
Author: CRST
FEATURE STORY: Sutureless Surgery
Phaco technology joined forces with the breakthrough
clear corneal incision more than a
decade ago, establishing the gold standard for
cataract surgery in the United States. The procedure
became more comfortable for patients, with a faster
po…
The Patient’s Perspective
In my career, I have learned always to pay attention
to the patient’s perspective: what does he or she
want? Especially in refractive surgery, it is usually
the patients’ preferences that ultimately drive the
market and steer what we do su…
RESIDENT TRAINING: The Importance of Mentoring
Laurence A. Parks Daloz points out, “What we
model for our students is not our knowledge but
our curiosity, the journey, not the destination.”1
This sentiment is worth considering in the context
of the great privilege ophthalmologists have…
CHIEF MEDICAL EDITOR’S PAGE: Resident Education
Certain indelible moments define who we are
and have profound consequences (good or
bad) on our lives. For example, I will never forget
being in the OR when the World Trade
Center was attacked or when my wife, Marleen, roused
me at 3:00 AM ou…
TrueVision 3D HD for Teaching and Training
From personal cameras and video recorders to mainstream
television, imaging in every aspect of our
lives has moved to a digital platform. In the ophthalmic
OR, procedures are commonly viewed and
recorded in two dimensions through secondary vie…
Increasing Efficiency in the Office and OR
One topic that all of us have a significant financial
interest in is improving office and OR efficiency.
Implementing a few simple strategies to
streamline examinations in the office and
ensure safety in the OR will increase your efficiency an…
Video Education for the Surgeon
Ophthalmic surgery cannot be learned from the
podium. Nor can it be mastered from a textbook.
Although there is nothing as valuable as
sitting at the microscope and actually performing
a procedure, it is not so easy on a trainee’s coronaries…
Improving OR Efficiency
Here are six tips to improve the efficiency of the
cataract surgery OR.
bNo. 1. Single-specialty facility./b In terms of overall
efficiency, safety, and specialized service, I believe that
there are many advantages to a single-speci…
The Role of Surgical Simulators
The Accreditation Council for Graduate Medical
Education has six core competencies that are
required for resident training accreditation in ophthalmology.
sup1/sup The American Board of
Ophthalmology has recommended including surgery as
t…
PHACO PEARLS: What IOP Should You Achieve at the End of a Cataract Surgical Case?
emHabitually overlooked, the IOP typically is not measured at the end of a cataract procedure. The IOP may be exploited, however, as a tool to prevent problems. Therefore, not only is the absolutely best IOP important, but the best IOP for a uni…
Senior Residents’ Perspectives on Cataract Surgery
h3A deceptively simple procedure./h3
bMatthew M. Wessel, MD/b
During my medical school subinternships, my
intern-year electives, and my first 2 years of residency,
I watched attending surgeons perform
dozens of cataract extract…
Laser Cataract Surgery: the Next New Thing in Ophthalmology
MARCH 2011 CATARACT and REFRACTIVE SURGERY TODAY 83
In 2010, ophthalmologists became aware of the next
big revolution in the field: using a femtosecond laser to
perform cataract surgery. Seemingly out of nowhere,
four companies emerged with anno…
The Business Course I Wish I’d Had
Practicing in the real world—whether the setting is
private, academic, or corporate—makes ophthalmologists
wish they had learned a lot more than
how to diagnose and treat eye disease. A 2006 survey
of recently graduated ophthalmology resid…
The Origins of Laser Cataract Surgery
This year, the technology behind one of the most
anticipated advances in years—laser cataract
surgery—begins its transition from testing laboratories
to physicians’ offices. The precision of femtosecond
lasers in cataract surgery is expe…
TIPS AND TRICKS FOR OR SAFETY AND EFFICIENCY: Practical Methods for Surgical Excellence
Every time I visit another surgeon’s ambulatory surgery
center (ASC), I learn new ways to run my OR
more efficiently and more safely. To return the
favor, here are a few things my guests have found
helpful about the way I run my facility./p…
5 Qusetions with Manus C. Kraff,MD
h4You have had an extremely successful
career as an ophthalmic
surgeon.What is your secret?/h4
Being diligent, always being honest,
and projecting that to my patients certainly
are prerequisites to success in any
field and definitely in …
emPHACO PEARLS/em: Your Sister Needs Refractive Cataract Surgery
I am pleased to be working with William J. Fishkind, MD,
as a section editor of the “Phaco Pearls” column. Like
Dr. Fishkind, I will be inviting well-known cataract surgeons
to share their recommendations on how to handle
various phaco cha…
Refractive Lens Exchange: Who,When,and How?
Iconsider the option of refractive lens exchange (RLE)
most actively for presbyopic hyperopes. Patients
whose needs go beyond the limits of reading vision
LASIK or monovision LASIK are the best candidates
for this procedure.
The Tecnis…
emMY MOST DIFFICULT CASE/em: Please Have Your Cataract Removed by My Partner
When a bad outcome occurs in a patient’s
first eye and he or she ultimately decides to
proceed with surgery on the second eye,
the potential for disaster that day in the OR
is palpable. This article details my worst case ever and
how I avoi…